Luisa F Carvajal, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23137 Issued in FL

Practice address

516 Mary Esther Cto NW Ste 2
Fort Walton Beach, FL 32548-4025

Phone

(850) 659-3119

NPI assigned

Jan 1, 2018

Last updated

Jan 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514764800000",
    "number": "1861909723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N URSULA ST UNIT 329",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457411",
            "telephone_number": "786-715-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MARY ESTHER CTO NW STE 2",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484025",
            "telephone_number": "850-659-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVAJAL",
        "first_name": "LUISA",
        "middle_name": "F",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-01",
        "last_updated": "2018-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Carter
• Penelope Linda Carter, ARNP
• Zachary Ashton Carter, MD
• Katline Cartwright
• Emily Rebekah Caruso, BCBA, LBA
• Sidney L Cary, L.M.H.C.
• Thomas Joseph Casey, MD
• Helena H Castaneda, LCSW
• Ivana Castaneda
• Martina Theodora Castro, D.C.

• General Practice Dentistry in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.